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4AF-10379-92615

2 vaccinations 6 coded responses 13 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
652 / MO
Registered
2021-04-13
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Dose 1 — Moderna
  2. 2021-04-13
    Registered in v-safe
  3. 2021-04-13
    Dose 2 — Moderna
  4. 2021-04-13
    Survey response — day 0, dose 2
    MedDRA: Arthralgia, Dizziness, Hypoaesthesia, Hypoaesthesia oral, Self-medication — Feeling: Fair · Site: Pain · Be unable to work, Be unable to do your normal daily activities
    Free text: The lower half of my face on the left side, including the lip, my tongue, all the way back to the ear feels numb. I also feel kinda light-headed. Also soke numbness all the way down the injection arm (left) to my finger tips...also my shoulder hurts a lot even after taking some pain-killer
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Epistaxis — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Free text: Nose bleed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-20
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-04-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-04
    Survey response — day 21, dose 2
    MedDRA: Asthenia, Gastrointestinal disorder, Pain in extremity — Feeling: Fair
    Free text: I've been having some digestive issues (could just be chance on that. Also I still don't have my usual energy and my legs hurt easily since the shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-11
    Survey response — day 28, dose 2
    MedDRA: Abnormal sleep-related event, Asthenia, Exercise tolerance decreased, Musculoskeletal chest pain — Feeling: Fair
    Free text: I am having rib pain on the sides, my energy levels/endurance are still not fully back, and my sleep schedule is just weird
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-18
    Survey response — day 35, dose 2
    MedDRA: Asthenia, Fatigue, Sleep disorder — Feeling: Fair
    Free text: I am still fighting decreased energy levels and sleep changes that did not exist prior and just will not go away. Still happy to be vaccinated but I am used to only needing 6-7 hours of sleep and now I get tired really early.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-25
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-07-13
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Muscle spasms, Self-medication — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Its not *exactly* new but the sevond shot has hade some long term impacts on my health. I am stoill having issues with legs vramping and tiring very easily which was never an issue prior...taking magnesium seems to help but its still an issue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2022-04-13
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-13Moderna

Free text

Release 7 — day 0, dose 2

2021-04-13

Systemic reaction (other): The lower half of my face on the left side, including the lip, my tongue, all the way back to the ear feels numb. I also feel kinda light-headed. Also soke numbness all the way down the injection arm (left) to my finger tips...also my shoulder hurts a lot even after taking some pain-killer

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Nose bleed

Release 8 — day 21, dose 2

2021-05-04

Symptoms: I've been having some digestive issues (could just be chance on that. Also I still don't have my usual energy and my legs hurt easily since the shot

Release 8 — day 28, dose 2

2021-05-11

Symptoms: I am having rib pain on the sides, my energy levels/endurance are still not fully back, and my sleep schedule is just weird

Release 8 — day 35, dose 2

2021-05-18

Symptoms: I am still fighting decreased energy levels and sleep changes that did not exist prior and just will not go away. Still happy to be vaccinated but I am used to only needing 6-7 hours of sleep and now I get tired really early.

Release 9 — 3 months, dose 2

2021-07-13

Symptoms: Its not *exactly* new but the sevond shot has hade some long term impacts on my health. I am stoill having issues with legs vramping and tiring very easily which was never an issue prior...taking magnesium seems to help but its still an issue.

Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".

MedDRA terms by release

FieldPreferred term2021-092023-042024-11
SDAbnormal sleep-related event ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDExercise tolerance decreased ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGastrointestinal disorder ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDSleep disorder ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROHypoaesthesia oral ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release